Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DEREK MITCHUM LEBRON-FRANK CRNA
NPI 1710654074
Nurse Anesthetist, Certified Registered in San Diego, CA

Active since August 25, 2021
200 W ARBOR DR, SAN DIEGO, CA 92103(800) 926-8273(888) 539-8781 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 11, 2026, Mar 6, 2026, Jul 22, 2022 and 1 more (4 updates tracked since 2021).

About Derek Mitchum Lebron-frank Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEREK MITCHUM LEBRON-FRANK CRNA (NPI 1710654074) is an individual nurse anesthetist, certified registered in San Diego, California, licensed in California (95002785) and active in the NPI registry since August 2021. He is affiliated with Au Medical Center, maintains 3 additional practice locations, and is a graduate of Baylor College Of Medicine (2021).

NPPES Registry Identity

NPI1710654074
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameDEREK MITCHUM LEBRON-FRANKCredential: CRNA
Location Address200 W ARBOR DRSan Diego, CA 92103-9000
Mailing AddressFile 57326Los Angeles, CA 90074-7326 · (800) 926-8273
Fax(888) 539-8781
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2021
Enumeration DateAugust 25, 2021
Last NPPES UpdateAugust 11, 20264 updates tracked since enumeration
NPPES CertifiedAugust 11, 2026
NPI 1710654074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses Licensed in CA · 95002785 Licensed in TX · 1068499 Licensed in GA · GAA-CRNA003379
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
200 W ARBOR DR, San Diego, CA 92103

Secondary Practice Locations 3

Location 16655 Alvarado RdSan Diego, CA 92120-5208 · Phone (800) 926-8273 · Fax (888) 539-8781
Location 29300 Campus Point DrLA Jolla, CA 92037-1300 · Phone (800) 926-8273 · Fax (888) 539-8781
Location 318511 Highlander Medics Street, WBAMCFort Bliss, TX 79918 · Phone (915) 569-3213

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Derek Mitchum Lebron-frank Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193107217
PECOS Enrollment IDI20240816003790, I20250409001254

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Au Medical Center

Acute Care Hospitals · Augusta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110034
Location1120 15th StreetAugusta, GA 30912 · Richmond County
Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110177
Location3651 Wheeler RoadAugusta, GA 30909 · Richmond County
Emergency services Birthing friendly

Sidney Regional Medical Center

Critical Access Hospitals · Sidney, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281357
Location1000 Pole Creek CrossingSidney, NE 69162 · Cheyenne County
Emergency services

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Geriatric Medicine)
200 W ARBOR DR
SAN DIEGO, CA 92103
Hospice, Inpatient
200 W ARBOR DR
SAN DIEGO, CA 92103
Anesthesiology
200 W ARBOR DR
SAN DIEGO, CA 92103
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
Nurse Practitioner (Psychiatric/Mental Health)
200 W ARBOR DR
SAN DIEGO, CA 92103
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR
SAN DIEGO, CA 92103
Physician Assistant (Surgical)
200 W ARBOR DR
SAN DIEGO, CA 92103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derek Lebron-frank's NPI number?

The NPI number for Derek Lebron-frank is 1710654074. It was assigned to this individual provider in the NPPES registry on August 25, 2021.

Where is Derek Lebron-frank located?

Derek Lebron-frank practices at 200 W Arbor Dr, San Diego, CA 92103. The listed phone number is (800) 926-8273.

What is Derek Lebron-frank's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Derek Lebron-frank enrolled in Medicare?

Yes. Derek Lebron-frank is registered in the Medicare PECOS enrollment system.

What insurance does Derek Lebron-frank accept?

Health plans from Blue Cross and Blue Shield of Texas and Medica list Derek Lebron-frank as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Derek Lebron-frank affiliated with any hospitals?

According to CMS data, Derek Lebron-frank is affiliated with Au Medical Center, Doctors Hospital and Sidney Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Derek Lebron-frank was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.